Doctor Name: | MRS. AMANDA KEENAN |
NPI Number: | 1013324466 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | PC007563 |
Business Practice Address: | 500 N West St Doylestown, PA - 189012366 |
Business Phone Number: | 2153455300 |
Business Fax Number: | |
Mailing Address: | 5 Waverly Ct, Apt A LANSDALE |
State: | PA |
Postal Code: | 194461291 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/17/2014 |
NPI Last Update Date: | 07/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC007563 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |